Hematology Flashcards

1
Q

what is the normal MCV?

A

80-100

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2
Q

what is the most common microcytic anemia

A

iron deficiency anemia

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3
Q

would anemia of chronic disease most likely be macrocytic, normocytic, or microcytic

A

normocytic

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4
Q

what two main causes should you be thinking of in a macrocytic anemia

A

malnutricion and sever blood loss

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5
Q

does an increase in reticulocytes indicate a decrease or an increase in RBC production

A

An increase, reticulocytes are newly released “baby” RBCs

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6
Q

Auer Rods are most commonly associated with what disease

A

Acute Myeloid leukemia

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7
Q

what molecule binds iron in the blood stream

A

transferrin

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8
Q

what does koilonychia refer to?

A

spoon shapped nails. this may be found in microcytic anemia

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9
Q

will the serum ferritin be high or low in a patient with iron deficiency anemia

A

it will almost always be low

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10
Q

a low retic count and a normal serum ferritin should make you think of what diagnosis

A

anemia of chronc disease

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11
Q

under normal conditions at what hemoglobin level would you begin to consider a transfusion

A

8

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12
Q

Asplenism secondary to sickle cell disease increases a patients risk for what type of infections

A

Capsulated organisms like Strep Pneumo and H. Flu

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13
Q

An african american teenager presents with avascular necrosis of the his right femoral head. what is the most likely diagnosis

A

Sickle cell disease

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14
Q

How do you treate sickle cell crisis

A

Fluids, oxygen, pain medication, transfusion may be nevessary

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15
Q

Will unconjugated bilirubin be high or low in a patient with sickle cell disease

A

HIgh

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16
Q

which anemia should you think of if you see the term Howell-Jolly Bodies

A

Sickle cell due to functional asplenia but it may also show up in a folic acid deficiency

17
Q

G6PD deficiency follows what pattern of inheritance

A

x-linked

18
Q

list the 3 diagnosis you should be thinking of if a question includes Heinz bodies

A

G6PD deficiency anemia, chronic liver disease, alpha thalassemia

19
Q

what is pica

A

eating non food items including ice, paper, dirt, hair

20
Q

Are target cells seen in mild or sever iron deficiency anemia

A

Severe, they are also seen in alpha thalassemia, chornic liver disease and asplenia

21
Q

iron deficiency anemia will have a serum iron lower than what value

A

30

22
Q

woud a B12 deficiency anemia most likely be microcytic, normocytic or macrocytic

A

macrocytic

23
Q

you should be thinking alpha thalassemia if the question stem includes which four geographic areas

A

Southeast Asia, MIddle East, Africa

24
Q

A patient of mediterranean descent is a clue for which type of anemia

A

Beta thatassemia

25
Q

In a folic acid deficiency anemia the folic acid level is typically below what level

A

<150

26
Q

What hematological disorder should you think of if the questions talks about the patient eating ice or dirt

A

Iron deficiency anemia

27
Q

Inability to absorb vitamin B12 due to lack of intrinsic factor is what disease

A

Pernicious Anemia

28
Q

Stocking glove paresthesias should make you think of what two diagnosis

A

B12 deficiency neuorpathy and diabetic neuropathy

29
Q

will the rbs’s be large, small, or normal size in a B12 deficient anemia

A

Macrocytes

30
Q

Will the retic count be elevated, decreased, or normal in a B12 deficient anemia

A

Retic count will be low. low building blocks means low production

31
Q

what is Schillings test used for?

A

test for the cause of B12 deficiency

32
Q

Strict vegans are at risk for what type of anemia

A

B12 deficiency Anemia

33
Q

Is sickle cell microcytic, macrocytic or normocytic

A

microcytic

34
Q

will a hemolytic anemia generally have an elevated or a decreased retic count?

A

elevated

35
Q

list for disease states in which you may find basophilic stippling

A

lead poisoning, Beta or Alpha thalassemia, sideroblastic anemia, arenic poisoning

36
Q

if a question presents a pregnant woman with anemia what is the most likely diagnosis

A

Iron Deficiency

37
Q

The Term Philadelphia Chromosome you should make you think of what diagnosis

A

Chronic Myeloid Leukemia